Magee-Kakouras, Melissa
Magee-Kakouras, Melissa is an sole proprietor health care provider with primary practice located at 216A W. North Main Street , Waxhaw NC 28173-6012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Magee-Kakouras, Melissa can be contacted via phone (704) 560-4918.Contact Information
Primary practice address
216A W. North Main Street
Waxhaw NC 28173-6012
Phone: (704) 560-4918
Fax: (704) 243-1799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C006451 | North Carolina |
Profile Details
| NPI number | 1316177629 |
|---|---|
| LBN Legal business name | Magee-Kakouras, Melissa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2009 |
| Last updated | Oct 25th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316177629 | NPPES |
| North Carolina | MEDICAID | 6007330 | |
| North Carolina | Other | C006451 |
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